title: Proximal base stress fracture of the second metatarsal in a Highland dancer.
abstract: A 15-year-old female Highland dancer presented to the accident and emergency department with an ankle inversion injury on a background of several weeks of pain in the right foot. A radiograph of the right foot demonstrated a stress fracture at the base of the second metatarsal. She was treated conservatively with a below knee removable supportive walking boot with a rocker bottom sole. She re-presented to the accident and emergency department 3 weeks later with pins and needles in the right foot; she was given crutches to use along side the supportive walking boot. Radiographs 12 weeks after the first presentation showed healing of the stress fracture. The patient was now asymptomatic of the injury. She was unable to fully train for 12 weeks due to the injury. Conservative management was successful in this patient.
authors.affiliation: Department of Orthopaedics, Dr Gray's Hospital, NHS Grampian, Elgin, UK. hannahwatson1@nhs.net
authors.forename: Hannah Isabella
authors.initials: HI
authors.lastname: Watson
authors.forename: Barry
authors.initials: B
authors.lastname: O'Donnell
authors.forename: Graeme Philip
authors.initials: GP
authors.lastname: Hopper
authors.forename: Winston
authors.initials: W
authors.lastname: Chang
mesh_terms: D000293:Adolescent; D003615:Dancing / Q000293:injuries*; D005260:Female; D015775:Fractures, Stress / Q000000981:diagnostic imaging* / Q000628:therapy; D006801:Humans; D008682:Metatarsal Bones / Q000000981:diagnostic imaging / Q000293:injuries*; D011859:Radiography